Pharmacology of Common Analgesic and Sedative Drugs Used in the Neonatal Intensive Care Unit.


Journal

Clinics in perinatology
ISSN: 1557-9840
Titre abrégé: Clin Perinatol
Pays: United States
ID NLM: 7501306

Informations de publication

Date de publication:
12 2019
Historique:
entrez: 27 10 2019
pubmed: 28 10 2019
medline: 21 7 2020
Statut: ppublish

Résumé

In this review of analgesic and sedation medication in neonates, important classes of old and newer medications commonly used in the neonatal intensive care unit setting are discussed. In addition to drug metabolism, efficacy, and safety for individual drugs, new insights into multimodal analgesic approaches suggest ways in which multiple analgesic drug classes can be combined to maximize efficacy and minimize toxicity. Opiate pharmacogenetics and the potential for a precision therapeutics approach is explored, with a final description of gaps in knowledge and a call for future research of pain and sedation control in the neonatal population.

Identifiants

pubmed: 31653302
pii: S0095-5108(19)30092-2
doi: 10.1016/j.clp.2019.08.004
pii:
doi:

Substances chimiques

Analgesics 0
Analgesics, Opioid 0
Anti-Inflammatory Agents, Non-Steroidal 0
Hypnotics and Sedatives 0
Acetaminophen 362O9ITL9D
Dexmedetomidine 67VB76HONO
Morphine 76I7G6D29C
Clonidine MN3L5RMN02
Remifentanil P10582JYYK
Midazolam R60L0SM5BC
Fentanyl UF599785JZ

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

673-692

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Jamesia Donato (J)

Department of Pediatrics, Division of Neonatology, UMKC School of Medicine, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.

Karishma Rao (K)

Department of Pediatrics, Division of Neonatology, UMKC School of Medicine, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.

Tamorah Lewis (T)

Department of Pediatrics, Division of Neonatology, UMKC School of Medicine, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA; Division of Clinical Pharmacology, Toxicology and Therapeutic Innovation, Department of Pediatrics, Division of Pediatric Clinical Pharmacology, UMKC School of Medicine, Children's Mercy Hospital, Kansas City, MO, USA. Electronic address: trlewis@cmh.edu.

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Classifications MeSH